Delusional Infestation: Perspectives from Scottish Dermatologists and a 10-year Case Series from a Single Centre

Yee Ling Wong, Andrew Affleck, Alexander M. Stewart

    Research output: Contribution to journalArticle

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    Abstract

    Perceptions of the clinical management of delusional infestation (DI) were compared with clinical outcomes in this 10-year case series from a single centre in Dundee, UK. An online questionnaire (survey-monkey, a TM brand of online survey available for free for basic use) was sent to Scottish Dermatologists to gauge their opinions and confidence in the management of DI. Also, a retrospective review of medical case notes of patients seen by dermatologists in one institution was undertaken and clinical outcomes were reported by patients’ general practitioners. The survey showed that 61% of responding dermatologists encountered 1–5 cases of DI per year. 24% respondees were ‘confident’ in managing patients with DI, 54% were ‘somewhat confident’. Forty-seven patients (62% female, 70% single) were seen over the 10 years; 43% brought a self-collected specimen to clinic, 68% of patients had a psychiatric comorbidity, 23% of patients had primary DI and 11/47 (23%) were seen by a psychiatrist. Clinical outcomes as rated by patients’ GPs were reasonable or good in 2/3 patients. A poor outcome was seen in 12 patients and associated with chronic pain in 50% (p<0.01) and psychiatric comorbidity in 100% (p<0.01). We conclude that good outcomes can be achieved in some patients with DI without psychiatric input and without psychoactive treatment.
    Original languageEnglish
    Pages (from-to)441-445
    Number of pages5
    JournalActa Dermato-Venereologica
    Volume98
    Issue number4
    Early online date21 Dec 2017
    DOIs
    Publication statusE-pub ahead of print - 21 Dec 2017

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    Psychiatry
    Comorbidity
    Dermatologists
    Chronic Pain
    General Practitioners
    Haplorhini
    Surveys and Questionnaires
    Therapeutics

    Keywords

    • Delusional
    • Infestation
    • Parasitosis
    • Psychodermatology

    Cite this

    Wong, Yee Ling ; Affleck, Andrew ; Stewart, Alexander M. / Delusional Infestation : Perspectives from Scottish Dermatologists and a 10-year Case Series from a Single Centre. In: Acta Dermato-Venereologica. 2017 ; Vol. 98, No. 4. pp. 441-445.
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    Delusional Infestation : Perspectives from Scottish Dermatologists and a 10-year Case Series from a Single Centre. / Wong, Yee Ling; Affleck, Andrew; Stewart, Alexander M.

    In: Acta Dermato-Venereologica, Vol. 98, No. 4, 21.12.2017, p. 441-445.

    Research output: Contribution to journalArticle

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